FREMONT REGIONAL ANESTHESIA SPECIALTY SERVICES P.C. (PAIN MANAGEMENT PC) NPI 1003026253

Nurse Anesthetist, Certified Registered in Omaha, NE

NPI 1003026253 Organization Nurse Anesthetist, Certified Registered

About FREMONT REGIONAL ANESTHESIA SPECIALTY SERVICES P.C. (PAIN MANAGEMENT PC)

Fremont Regional Anesthesia Specialty Services P.c. (pain Management Pc) is a provider established in Omaha, Nebraska specializing in nurse anesthetist, certified registered. The NPI number of Fremont Regional Anesthesia Specialty Services P.c. (pain Management Pc) is 1003026253 and was assigned on May 2007. The practitioner's primary taxonomy code is 367500000X with license number 100507 (NE). The provider is registered as an organization and their NPI record was last updated 10 years ago. Fremont Regional Anesthesia Specialty Services P.c. (pain Management Pc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Fremont Regional Anesthesia Specialty Services P.c.. The authorized official of this NPI record is Mr. Michael Kent Perry C.r.n.a. (President)

NPI

1003026253

Provider NameFREMONT REGIONAL ANESTHESIA SPECIALTY SERVICES P.C. (PAIN MANAGEMENT PC)
Provider Location Address8031 W CENTER RD SUITE 226 OMAHA, NE 68124
Provider Mailing Address13811 CHARLES ST OMAHA, NE 68154
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFREMONT REGIONAL ANESTHESIA SPECIALTY SERVICES P.C.
Other Name TypeFormer Legal Business Name (4)
Enumeration Date05-23-2007
Last Update Date04-19-2012


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.100507
License StateNE
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

FREMONT REGIONAL ANESTHESIA SPECIALTY SERVICES P.C.
8031 W CENTER RD
SUITE 226
OMAHA, NE
ZIP 68124
Phone: (402) 391-8978
Fax: (402) 391-8979

Get Directions


Mailing Address

FREMONT REGIONAL ANESTHESIA SPECIALTY SERVICES P.C.
13811 CHARLES ST
OMAHA, NE
ZIP 68154
Phone: (402) 492-8544
Fax: (402) 391-8979



Authorized Official

Authorized Official NameMR. MICHAEL KENT PERRY C.R.N.A.
Authorized Official TitlePRESIDENT
Authorized Official Phone(402) 492-8544

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609972025 LONNIE R. DINNEEN LIMHP, LIMHP, LADC
Individual
Counselor (Mental Health)8031 W CENTER RD SUITE 324
OMAHA, NE 68124
(402) 502-5002
1255428439MR. MICHAEL KENT PERRY CRNA
Individual
Nurse Anesthetist, Certified Registered8031 W CENTER RD SUITE 226
OMAHA, NE 68124
(402) 391-8978
1770662934 D JOY MILEY MSW
Individual
Social Worker (Clinical)8031 W CENTER RD 207
OMAHA, NE 68124
(402) 212-4609
1669518833 CARRIE LEA GRIFFIN OT
Individual
Occupational Therapist (Pediatrics)8031 W CENTER RD SUITE 300
OMAHA, NE 68124
(402) 391-5002
1386783843 MARY B DINNEEN LIMHP, LMHP, LADC
Individual
Counselor (Mental Health)8031 W CENTER RD SUITE 324
OMAHA, NE 68124
(402) 502-5002
1326161118 IAN M SEVERES LMHP, LADC
Individual
Counselor (Mental Health)8031 W CENTER RD SUITE 324
OMAHA, NE 68124
(402) 502-5002
1841417888DR. JOHN HOAGLAND D.C.
Individual
Chiropractor8031 W CENTER RD SUITE 210
OMAHA, NE 68124
(402) 391-6211
1780897868 WENDI HEGARTY OTR
Individual
Occupational Therapist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1811100605SNYDER CHARLESON THERAPY SERVICES, P.C.
Organization
Speech-Language Pathologist8031 W CENTER RD STE. 300
OMAHA, NE 68124
(402) 391-5002
1851509582 REBECCA MARIE SNYDER MA CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1851509210 AMY F TETEN PHD CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1235347600 LEESHELL M LEWIS MS CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1972711901 LORIE M KOLL MS CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1497963375 JILL R CHURCHILL OTR-L
Individual
Occupational Therapist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1205044120 KAREN L LAIKKO MS CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1578772422 KEBBELIN K HIMMELBERG MS CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1851500508 RACHEL L SCHLUETER MS CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1982813648 CHAD M SCHLUETER COTA
Individual
Occupational Therapy Assistant8031 W CENTER RD
OMAHA, NE 68124
(402) 391-5002
1861601775 TANYA K LEE MS CCC SLP
Individual
Speech-Language Pathologist8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002
1205045127 KIM M HANEY COTA
Individual
Occupational Therapy Assistant8031 W CENTER RD SUITE 225
OMAHA, NE 68124
(402) 391-5002

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.